30D2031334 CLIA NUMBER - KEENE VA OUTREACH CLINIC

Laboratory Demographics

  • CLIA Code: 30D2031334
  • Facility Name: KEENE VA OUTREACH CLINIC
  • Facility Address: 630 MARLBORO STREET
    KEENE, NH
    ZIP 03431
  • Facility Phone: 603 358-4900
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: MARY CLARK
  • NPI Number: 1124397211
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2031334
LAB Type Community Clinic
Facility Name KEENE VA OUTREACH CLINIC
Street 630 MARLBORO STREET
City KEENE
State NH
ZIP 03431
Phone 603 358-4900
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/18/2011
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director MARY CLARK

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This page was last updated on: 9/29/2025